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I <br />Page 1 of 1 <br />Patricia Koch <br />Volunteer Application <br />Orange County Advisory Boards and Commissions <br />Name: <br />Name Called: <br />Home Address <br />Phone: (Day) <br />Phone: (Evening) <br />Fax: <br />Email: <br />Place of Employment: <br />Job Title: <br />Township of Residence <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Date of Birth: <br />Ms, Patricia Koch <br />Pat <br />1540 Ferrell Rd <br />Chapel Hill NC 27517 <br />942-6637 <br />same <br />pkoch@mindspring.cam <br />retired <br />Teacher <br />Chapel Hill <br />C.H, City Limits <br />Female <br />Caucasian <br />12/4/1930 <br />Boards/Commissions applied for: <br />Adult Care Home Community Advisory Committee <br />Nursing Home Community Advisory Committee <br />Work Experience: <br />Taught school far 41 years <br />Volunteer Experience: <br />Volunteer at Carrboro Elementary School and Britthaven Nursing Home <br />Education: <br />B.A, and M.A, <br />Other Comments: <br />I spent over 10 years visiting my aunt in CarDl Woods, She was in assisted living for the <br />last 10 years of her life. I also understand that John Vogt is no longer an the board and <br />there is an opening, STAFF COMMENTS: Originally applied for Adult Care Home CAC <br />and Nursign Home CAC 7/1212005, 1540 Ferrell Rd is in Chapel Hill township in the <br />Chapel Hill City limits. <br />This application was current on: 7/12/2005 Date Printed: 5/30/2006 <br />